A Program to Improve the Assessment of a Child for Attention Deficit Hyperactivity Disorder

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Lukomski, Michelle
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Attention Deficit Hyperactivity Disorder , Assessment Tools , Assessment Methods , Assessing , Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing
Abstract Problem: Due to the number of children diagnosed with ADHD, increased risk of these children having co-morbidities, and insufficient documentation of the DSM-5 criteria for an ADHD diagnosis, an ADHD program was developed for a child presenting for an initial ADHD evaluation. Methods: A mixed method design utilizing a retrospective chart review evaluated the system change and provider adherence by percentage of DSM-5 criteria met prior to and after the implementation of the ADHD program. A thematic analysis identified the recruited participants’ satisfaction of the ADHD program. Findings: The two-tailed Mann-Whitney U test was significant based on p < .001. Providers met 100% of the DSM-5 criteria after implementation of the ADHD program in the EHR, compared to 50% prior to implementation. The thematic analysis identified recruited participants were satisfied with the ADHD program which provided a more standardized means of documenting the DSM-5 criteria for ADHD. Conclusions: The ADHD program, increased provider’s adherence and consistency to the DSM-5 criteria decreasing the use of the unspecified ADHD ICD-10 code, allowing the provider to develop a more successful plan of care for patients between the ages of five and 18. Keywords: attention deficit hyperactivity disorder, assessment tools, assessment methods, assessing